Bridget Ione Peterson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001806 Issued in CT

Practice address

34 Maple St
Norwalk, CT 06850-3815

Phone

(203) 852-2188

NPI assigned

Sep 3, 2006

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northridge Trauma Surgeons Inc a Medical Corporation

  • Surgery Physician
  • Northridge, CA
  • NPI 1255418745
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1063514628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-39 FERRIS AVE",
            "address_2": "APT. 16",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541551",
            "telephone_number": "720-840-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503815",
            "telephone_number": "203-852-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIDGET",
        "middle_name": "IONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "001806",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Home Care Inc
• Nicole Pertelesi, ATR-BC, LCAT
• Peter Eugene Libre (Connecticut Glaucoma Associates)
• Akeera Peterkin
• Andrea A Peterson, MD
• Claudio R Petrillo, MD
• Susan M Pfeil, LADC
• Tuong-VI Phan, M.D.
• Phase 2 Face Home Care LLC
• Phase 2 Face Home Care, LLC (Phase 2 Face Home Care Agency)

• Surgical Physician Assistant in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.